Fish Sauce...What's the Turn Off?

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I've been eating Vietnamese food all my life and if you're familiar with Vietnamese cuisine, you know that almost every dish (like this one) contains fish sauce or is accompanied by a fish dipping sauce, which I love!

Fish sauce adds such a great umami flavor, but many people claim they are disgusted by it. I think it's due to the idea of a sauce made from fermented fish that turns people off. But is it the truly taste they dislike or is it purely psychological?